NPI | 1164411187 |
---|---|
Doing Business As | COLONIAL NURSING CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL P SLYK President 330-424-3721 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 3620) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OH 3620) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2020-08-22 |